Providence Holy Cross Medical Center
15031 Rinaldi St, Mission Hills, CA · Providence · · NPI 1477587632
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Change ureter stent percut CPT 50382 | $3,743.25 | $10,695.00 | $1,528.00 – $6,035.00 | 9 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $226.97 – $419.89 | 6 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $104.28 – $405.38 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $892.85 | $2,551.00 | $76.39 – $601.00 | 7 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $1,528.00 – $4,768.00 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,142.00 – $3,094.00 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $394.79 – $2,589.00 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $408.24 – $2,589.00 | 9 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $353.00 – $2,589.00 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $353.00 – $2,589.00 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $203.00 – $1,528.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $645.40 | $1,844.00 | $424.83 – $785.93 | 6 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $60.23 – $162.55 | 7 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $326.25 – $785.93 | 7 |
| Chemo ia push tecnique CPT 96420 | $629.30 | $1,798.00 | $232.60 – $601.00 | 7 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $25.74 – $506.11 | 7 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $21.53 – $171.32 | 7 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $42.65 | 10 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $32.79 – $785.93 | 7 |
| Chemotx admn pertl cav impl CPT 96446 | $2,522.10 | $7,206.00 | $20.98 – $785.93 | 7 |
| Chest 2 vws w oblique CPT 71048 | $613.90 | $1,754.00 | $56.20 – $366.18 | 9 |
| Chest apical lordotic proj CPT 71047 | $591.50 | $1,690.00 | $54.63 – $303.19 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,747.90 | $4,994.00 | $225.59 – $781.71 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,570.10 | $4,486.00 | $225.59 – $625.17 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,420.30 | $4,058.00 | $134.46 – $522.22 | 8 |
| Chest X-ray CPT 71046 | $466.55 | $1,333.00 | $42.86 – $303.19 | 9 |
| Chest X-ray (single view) CPT 71045 | $292.25 | $835.00 | $23.24 – $303.19 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | not published | not published | $75.87 – $140.37 | 6 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $394.45 | $1,127.00 | $162.48 – $612.97 | 9 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $280.50 – $1,190.61 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $414.92 | 9 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $521.58 | 9 |
| Chlamydia culture CPT 87110 | not published | not published | $19.60 – $52.28 | 10 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $11.98 – $24.79 | 10 |
| Chlamydia type CPT 87140 | not published | not published | $5.57 – $14.88 | 10 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $53.52 | 10 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $114.31 | 10 |
| Chlnggrphy intraop addl s&i CPT 74301 | $272.65 | $779.00 | $45.15 – $97.60 | 3 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $22.74 – $125.52 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $41.89 – $94.01 | 3 |
| Chloride CPT 82435 | $64.75 | $185.00 | $4.60 – $12.26 | 10 |
| Chloride 24 hour urine CPT 82436 | $166.25 | $475.00 | $5.75 – $13.41 | 10 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $1.39 | 4 |
| Chloroprocaine hcl injection HCPCS J2401 | $58.68 | $167.66 | $0.04 – $0.28 | 5 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.70 – $1.29 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $235.08 | $671.66 | $39.38 – $83.62 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $91.65 | $261.87 | $34.67 – $62.44 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.72 – $1.94 | 2 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $892.85 | $2,551.00 | $96.39 – $785.93 | 7 |
| Cholangiogram percutaneous compl CPT 47532 | $2,048.90 | $5,854.00 | $1,747.00 – $10,336.00 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $583.10 | $1,666.00 | $75.23 – $77.78 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,142.00 – $7,953.00 | 4 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,142.00 – $6,749.00 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,121.85 | $17,491.00 | $1,142.00 – $7,629.00 | 9 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $612.92 – $962.69 | 2 |
| Cholesterol CPT 82465 | $64.75 | $185.00 | $4.35 – $11.61 | 10 |
| Cholesterol body fluid CPT 84999 | not published | not published | $62.30 – $62.30 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $92.05 | $263.00 | $13.39 – $35.76 | 10 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $10,149.00 | 8 |
| Cholinesterase CPT 82480 | not published | not published | $7.87 – $21.03 | 10 |
| Cholinesterase challenge CPT 95857 | not published | not published | $52.03 – $513.77 | 7 |
| Chorion biopsy CPT 59015 | not published | not published | $203.00 – $2,109.00 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.19 – $69.33 | 5 |
| Chrom analysis CPT 88273 | not published | not published | $34.81 – $85.74 | 10 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $39.00 – $78.00 | 10 |
| Chromatography CPT 83021 | not published | not published | $18.06 – $48.19 | 10 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $11.89 – $31.74 | 10 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $114.08 | 9 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $173.66 – $443.85 | 10 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $173.17 – $462.14 | 10 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $125.49 – $332.61 | 10 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $173.17 – $397.24 | 10 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $150.29 – $401.04 | 10 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $264.34 – $528.68 | 10 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $173.17 – $462.14 | 10 |
| Chromosome analys placenta CPT 88267 | not published | not published | $188.57 – $479.73 | 10 |
| Chromosome banding study CPT 88283 | not published | not published | $22.54 – $137.20 | 10 |
| Chromosome count additional CPT 88285 | not published | not published | $26.91 – $53.82 | 10 |
| Chromosome karyotype study CPT 88280 | $32.81 | $93.75 | $33.47 – $66.98 | 10 |
| Chromosome study additional CPT 88289 | not published | not published | $24.49 – $68.86 | 10 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.46 – $33.25 | 10 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $61.50 – $123.00 | 10 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,561.16 – $2,888.15 | 6 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $8,805.87 – $16,290.86 | 6 |
| Cidofovir injection HCPCS J0740 | $2,714.60 | $7,756.00 | $427.08 – $1,121.93 | 9 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $215.18 – $398.08 | 6 |
| Cilastatin sodium injection HCPCS J0743 | $119.52 | $341.48 | $11.13 – $60.73 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.